Provider Demographics
NPI:1285944306
Name:THOMAS-RAY, TERESA SUE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:SUE
Last Name:THOMAS-RAY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:TERESA
Other - Middle Name:SUE
Other - Last Name:VELTRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:165 PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537-1653
Mailing Address - Country:US
Mailing Address - Phone:304-329-3908
Mailing Address - Fax:304-329-3918
Practice Address - Street 1:1 SUTPHIN DR
Practice Address - Street 2:
Practice Address - City:MARMET
Practice Address - State:WV
Practice Address - Zip Code:25315-1977
Practice Address - Country:US
Practice Address - Phone:304-949-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1498225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist